Form preview

Get the free Varicella Surveillance Worksheet - cdc

Get Form
A worksheet used for monitoring and reporting varicella (chickenpox) cases including patient information, clinical symptoms, vaccination records, and epidemiological data.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign varicella surveillance worksheet

Edit
Edit your varicella surveillance worksheet form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your varicella surveillance worksheet form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit varicella surveillance worksheet online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the professional PDF editor, follow these steps below:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit varicella surveillance worksheet. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Try it for yourself by creating an account!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out varicella surveillance worksheet

Illustration

How to fill out Varicella Surveillance Worksheet

01
Obtain a copy of the Varicella Surveillance Worksheet.
02
Complete the patient information section, including name, date of birth, and contact information.
03
Fill out the vaccination history, indicating whether the patient has received the varicella vaccine.
04
Document any history of varicella infection or related symptoms.
05
Provide details on any recent exposures to varicella outbreaks.
06
Complete the clinical information section, including date of onset and description of symptoms if applicable.
07
Review all information for accuracy.
08
Submit the completed worksheet to the appropriate health department.

Who needs Varicella Surveillance Worksheet?

01
Healthcare providers managing patients with suspected varicella infections.
02
Schools and childcare facilities reporting varicella cases.
03
Public health officials for surveillance purposes.
04
Researchers studying the incidence and spread of varicella.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
35 Votes

People Also Ask about

Healthcare providers should follow standard precautions, airborne precautions (negative air-flow rooms), and contact precautions until lesions are dry and crusted. If negative air-flow rooms are not available, patients with varicella should be isolated in closed rooms.
CDC recommends 2 doses of varicella (chickenpox) vaccine for children, adolescents, and adults to protect against varicella. Children are routinely recommended to receive the first dose at age 12 through 15 months and the second dose at age 4 through 6 years old.
Children under 13 years old should get 2 doses. People 13 years and older who have never had chickenpox or received chickenpox vaccine should get 2 doses. The doses should be at least 28 days apart. People should also get a second dose if they have had only one chickenpox dose.
Postexposure vaccination is recommended within 3 to 5 days but can still be offered greater than 5 days after exposure to protect against varicella in the future. infectious diseases expert. Healthcare personnel without evidence of immunity against varicella may get serologic screening before being vaccinated.
daily or valacyclovir in dose of 20 mg/kg (maximum 1,000 mg) three times daily for 7 days.
In 1998, CSTE recommended that varicella-related deaths be placed under national surveillance. As of January 1, 1999, varicella-related deaths became nationally notifiable to CDC.
Cases should be reported immediately upon consideration of varicella in the differential diagnosis. zoster is not reportable.
Approximately 90% of close contacts, who are non-immune, will catch chickenpox after exposure to persons with the disease. A person with varicella is contagious from 1-2 days before rash onset until the sores have crusted.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Varicella Surveillance Worksheet is a document used to collect data on cases of chickenpox (varicella) to monitor trends, outbreaks, and inform public health responses.
Healthcare providers, including physicians and nurses, as well as public health officials are generally required to file the Varicella Surveillance Worksheet for reported cases of chickenpox.
To fill out the Varicella Surveillance Worksheet, one needs to provide details such as patient information, clinical presentation, vaccination status, epidemiological links, and outcomes related to the varicella case.
The purpose of the Varicella Surveillance Worksheet is to track the incidence and distribution of chickenpox cases, identify populations at risk, and assess the effectiveness of vaccination programs.
Information that must be reported includes patient demographics, vaccination history, onset date of rash, clinical symptoms, any complications, and whether the case was confirmed or suspected.
Fill out your varicella surveillance worksheet online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.